We report a case of anomalous pulmonary venous drainage into the infer
ior vena cava (scimitar syndrome) in which the hemodynamic significanc
e was noninvasively assessed by means of velocity-encoded cine MR. Lef
t-to-right shunt was calculated from direct blood flow measurements pe
rformed in the ascending aorta, main pulmonary artery, and aberrant pu
lmonary vein.